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Topic Review
Traditional and Novel Biomarkers for Coronary Microvascular Dysfunction
Coronary microvascular dysfunction (CMD) is related to a broad variety of clinical scenarios in which cardiac microvasculature is morphologically and functionally affected, and it is associated with impaired responses to vasoactive stimuli. Although the prevalence of CMD involves about half of all patients with chronic coronary syndromes and more than 20% of those with acute coronary syndrome, the diagnosis of CMD is often missed, leading to the underestimation of its clinical importance. The established and validated techniques for the measurement of coronary microvascular function are invasive and expensive. An ideal method to assess endothelial dysfunction should be accurate, non-invasive, cost-effective and accessible. There are varieties of biomarkers available, potentially involved in microvascular disease, but none have been extensively validated in this heterogeneous clinical population. The investigation of potential biomarkers linked to microvascular dysfunction might improve the assessment of the diagnosis, risk stratification, disease progression and therapy response. 
  • 418
  • 26 Apr 2022
Topic Review
Tracheostomy in Severe Bronchopulmonary Dysplasia
Infants with the most severe forms of bronchopulmonary dysplasia (BPD) may require long-term invasive positive pressure ventilation for survival, therefore necessitating tracheostomy. Although life-saving, tracheostomy has also been associated with high mortality, postoperative complications, high readmission rates, neurodevelopmental impairment, and significant caregiver burden, making it a highly complex and challenging decision. However, for some infants tracheostomy may be necessary for survival and the only way to facilitate a timely and safe transition home. The specific indications for tracheostomy and the timing of the procedure in infants with severe BPD are currently unknown.
  • 206
  • 27 Nov 2023
Topic Review
Trace Minerals and Anxiety
Anxiety disorder is characterized by excessive fear or avoidance of perceived threats. Diet is a modifiable risk factor that may contribute to the pathogenesis or treatment of anxiety, depending on diet quality. Trace mineral treatments for the relief of anxiety have been investigated.
  • 702
  • 12 Jun 2023
Topic Review
Trace Elements on Glaucomatous Diseases
Glaucoma is a heterogeneous group of chronic neurodegenerative disorders characterized by a relatively selective, progressive damage to the retinal ganglion cells (RGCs) and their axons, which leads to axon loss and visual field alterations. To date, many studies have shown the role of various elements, mainly metals, in maintaining the balance of prooxidative and antioxidative processes, regulation of fluid and ion flow through cell membranes of the ocular tissues. Based on the earlier and current research results, their relationship with the development and progression of glaucoma seems obvious and is increasingly appreciated.
  • 821
  • 27 Apr 2021
Topic Review
Trace Amines
Trace amines are a chemical group of amines and their isomers, included in the biogenic amines’ family. They are natural compounds with low molecular weight, formed during the natural metabolism of animals, plants, and microorganisms from amino acids precursors.
  • 607
  • 09 Dec 2022
Topic Review
tPA and NF-kB Signaling in Renal Inflammation
Tissue plasminogen activator (tPA) is a serine protease regulating the homeostasis of blood coagulation, fibrinolysis, and matrix degradation, and has been shown to act as a cytokine to trigger various receptor-mediated intracellular signal pathways, modulating macrophage function in response to kidney injury. 
  • 218
  • 21 Jul 2023
Topic Review
TP53 Regulation of Cell Survival and Apoptosis
The new biological interaction cross-section-based repairable–homologically repairable (RHR) damage formulation for radiation-induced cellular inactivation, repair, misrepair, and apoptosis was applied to optimize radiation therapy. This new formulation accurately describing the cell survival and apoptosis and implies renewed thinking about biologically optimized radiation therapy, suggesting that most TP53 intact normal tissues are low-dose hypersensitive (LDHS) and low-dose apoptotic (LDA). This generates a fractionation window in LDHS normal tissues, indicating that the maximum dose to organs at risk should be ≤2.3 Gy/Fr, preferably of low LET. This calls for biologically optimized intensity modulated treatments using a few high tumor dose photon or light ion beams, preferably lithium to boron ion thereby avoiding secondary cancer risks and generating true tumor cure without risk for caspase-3-induced accelerated tumor cell repopulation.
  • 143
  • 04 Sep 2023
Topic Review
TP53 Mutations in Pancreatic Cancer Progression
The TP53 gene encodes a tumor suppressor protein. The TP53 gene is one of the most frequently mutated genes in humans. The TP53 protein is a transcription factor. TP53 can also influence the pancreatic ductal adenocarcinomas (PDAC) or colorectal cancer (CRC) microenvironment by influencing the expression of many genes. 
  • 568
  • 08 Aug 2022
Topic Review
TP53 in Germ Cell Tumours
The cure rate of germ cell tumours (GCTs) has significantly increased from the late 1970s since the introduction of cisplatin-based therapy. The exquisite cisplatin sensitivity has been mainly explained by the over-expression in GCTs of wild-type TP53 protein and the lack of TP53 somatic mutations; however, several other mechanisms seem to be involved, many of which remain still elusive. The findings about the role of TP53 in platinum-sensitivity and resistance, as well as the reported evidence of second cancers (SCs) in GCT patients treated only with surgery, suggesting a spectrum of cancer predisposing syndromes, highlight the need for a deepened understanding of the role of TP53 in GCTs. 
  • 477
  • 27 Jul 2021
Topic Review
TP53 Alterations in MDS and AML
TP53 mutations are less frequent in myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML) than in solid tumors, except in secondary and therapy-related MDS/AMLs, and in cases with complex monosomal karyotype. As in solid tumors, missense mutations predominate, with the same hotspot mutated codons (particularly codons 175, 248, 273). As TP53-mutated MDS/AMLs are generally associated with complex chromosomal abnormalities, it is not always clear when TP53 mutations occur in the pathophysiological process.
  • 252
  • 28 Apr 2023
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